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I’m breastfeeding. When should I introduce the pacifier?

It isn't recommended for babies to have a pacifier until after 4 weeks old.

The American Academy of Pediatrics (AAP) recommends delay of the pacifier until breastfeeding is well established at approximately 4 weeks of life.

Some babies have no "nipple confusion" on day 1 and can take a paci without a problem then go right back onto the breast. The average newborn nurses 8-12 times per day, so there is not a whole lot of room for the paci before 4 weeks.

When the frequency of nursing slows down slightly and the time it takes to complete a feed gets shorter, you can introduce a pacifier.  There is also a recommendation that young babies be offered the paci as they fall asleep as it may offer some additional protection against SIDS.

Comments

  1. I think we first tried to introduce a pacifier around 3 weeks, and she wouldn’t have any of it! I mean, I TRIED. Different shapes, brands, sizes, you name it. She wanted no part of it, but basically came out of the womb sucking her thumb. I think Kristen is right, I think it’s a choice on their part!

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  2. I waited about 3 weeks. We had no problem with nipple confusion. I tried to offer the paci only when my son was put down to sleep, because I didn’t want him to have a paci in his mouth 24/7. It worked out really well. He never wanted his paci when awake, and I think it helped him to fall asleep faster because the paci was only part of his sleeping routine.

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